William Bly CD CASAC

NPI 1023113396 - Counselor - 101YA0400X

NPI Details
NPI 1023113396
Gender Male
Enumeration Date 09/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
899 MAIN ST
BUFFALO NY, 14203, US
Phone (716) 885-2833
Fax
Business Location
800 CARTER STREET
ROCHESTER NY, 14621, US
Phone (585) 339-4793
Fax (585) 336-4845
Toxanomy
Taxonomy Code 101YA0400X
License State New York
License Number 0004093
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According to our database, William Bly CD CASAC NPI is 1023113396, taxonomy code is 101YA0400X and license number is 0004093, license state is located at New York. William Bly CD CASAC physically located at 899 Main St, Buffalo NY, 14203. NPI Number William Bly CD CASAC has the Individual type.

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1023113396 NPI number is provided on an as is basis without warranty of any kind. 1023113396 is maintained by the National Plan & Provider Enumeration System. The contents of William Bly CD CASAC are for informational purposes only.